Individual provider Active NPI

Terri L Cheeley, PA-C

  • Medical Physician Assistant
  • Brookeland, TX
National Provider Identifier
1235212010
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA02453 Issued in TX
Practice address
2427 Sam Rayburn Pkwy
Brookeland, TX 75931-6408
Phone
(409) 489-4220
Fax
(409) 489-4299
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA02453 TX Primary

Addresses

Primary practice location

2427 Sam Rayburn Pkwy
Brookeland, TX 75931-6408

Mailing address

PO Box 878
Tyler, TX 75710-0878
Phone (716) 389-3279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151111000604 TX Practitioner - Physician Assistant 8426368093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Jasper Hospital DistrictGroup PAC ID 1658899653, 3 clinicians

Practice addresses (Care Compare)

227 E Milam St
Jasper, TX 75951-4137
Phone (409) 489-4300

2427 Sam Rayburn Pkwy
Brookeland, TX 75931-6408
Phone (409) 489-4220

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA02453TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jasper Hospital District CurrentSince Mar 25, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2427 Sam Rayburn Pkwy
Brookeland, TX 75931
Phone (409) 489-4220

227 E Milam St
Jasper, TX 75951
Phone (409) 489-4300

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1235212010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 878",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757100878",
            "telephone_number": "716-389-3279",
            "fax_number": "716-639-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2427 SAM RAYBURN PKWY",
            "city": "BROOKELAND",
            "state": "TX",
            "postal_code": "759316408",
            "telephone_number": "409-489-4220",
            "fax_number": "409-489-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEELEY",
        "first_name": "TERRI",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA02453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookeland, TX

Sources for this page

Verify at the official NPI Registry.